Abstract: Objective To systematically evaluate the influencing factors of hypertension in China and the differences between cold area and non-cold area in China. Methods Hypertension or high blood pressure as the key words, studies about different influencing factors of hypertension were searched and selected. Data were extracted and analyzed with Comprehensive Meta Analysis 2.0. Results Sixteen influencing factors of hypertension were included in this systematic review and analysis The first three influencing factors of hypertension were obesity, family medical history and diabetes with pooled OR of 3.00(95% CI:2.69-3.36), 2.04(95% CI:1.87-2.23), and 1.94(95% CI:1.68-2.24), respectively. The five factors (overweight, obesity, diabetes, smoking and alcohol drinking) of population attribution risk were calculated; and the population attribution risk of obesity and overweight were 22.00% and 21.39%, respectively. The pooled OR of the association between age and hypertension was 1.35(95% CI:1.27-1.45) for cold region, 1.50(95% CI:1.47-1.53) for non-cold region, respectively. The OR of gender associated with hypertension was 1.30(95% CI:1.16-1.45) for cold region, non-cold regions was 0.99 (95% CI:0.90-1.09). The pooled OR of waistline was 1.37 (95% CI:1.30-1.44), OR_{cold regions} was 2.75(95% CI:2.11-3.59), OR_{non-cold regions} was 3.06(95% CI:2.70-3.48). Conclusions The main factors affecting the hypertension of China were overweight, obesity, diabetes, smoking and alcohol drinking. There were no significant differences in the influencing factors of hypertension between cold regions and non-cold regions.